The mission of the Emergency Medical Systems is to integrate the processes, protocols, technologies, policies, and practices that are designed to provide the best possible health outcome for individuals and communities - every day and during emergencies and disasters. This is accomplished through the development of statewide systems and programs described on this page.
EMS Week 2025 - 'We Care. For Everyone.'
A note of appreciation and official proclamations for EMS Week and EMSC Day, 2025.
Focus Areas
EMS Personnel
Proposed EMS Rules (8/2023)
EMS Personnel / Agency Registry (Big Picture) - *Upon your initial access to the new Big Picture system you will need to create a new password. Please follow instructions located HERE. At this time personnel have the ability to update personal information and print their certificate/license. The ability to renew certifications/licensure is not available yet. Please email the EMS office with any issues: dems@nd.gov.
EMS Agencies
Proposed EMS Rules (8/2023)
EMS Personnel / Agency Registry (Big Picture) - *Please note: Upon your initial access to the new Big Picture system you will need to create a new password. Please follow the instructions HERE to review your agency information and rosters. At this time squad leaders have the ability to review their personnel and vehicle rosters and print agency license. The ability to add/remove personnel or vehicles is not yet available. Please email any needed changes to: dems@nd.gov.
COVID-19 Response
EMS COVID-19 Information